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PAID JUL 2 3 20Aa <br /> Total Fee: $ Date Received: <br /> + Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNUT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR 2_1)6,Z1,37 <br /> JOB SITE ADDRESS: 2706 A' G41, ., ZIP: <br /> NAME OF OWNER: �p `. ttaxu Boll W W'1QZ. PHONE: (home) 45Z • y71' M-11V <br /> (work) -- <br /> MAILING ADDRESS: ,�,'� CITY: _ p� ZIP: 65331 <br /> CONTRACTOR: -MN 1e ' PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: I 5A 235 <br /> MAILING ADDRESS: 558 SlylQ. !U2 CITY: C1IJ ZIP: 55Se-13 <br /> STATE LICENSE: #x/73 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Z T0005 <br /> 0615r <br /> 0 1 Lt�' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> / a0 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 03 0 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />